MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) – Psychiatric/Mental Health Registered Nurse, NPI 1568516672

MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) is a healthcare provider. based in Plymouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N., PMHNP-BC. They hold a License No. RN2295724 (MA). The NPI Number for MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) is 1568516672

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC)
NPI
1568516672
Phone
(207) 475-2077
Address
6 INDIAN TRL
Enumeration Date
23 January 2007
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086633809
Graduation Year
2024 (2 years ago)
PAC ID
3173021557
Group Practice PAC ID
6901866706
Professional Enrollment ID
I20250814000438
Address ID
MA025405105FA340XXSTXX300
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC)

  • 6 INDIAN TRL

    PLYMOUTH, MA 023605414

    Phone: (207) 475-2077

    Type: Mailing

  • 340 GIFFORD ST

    FALMOUTH, MA 025405105

    Phone: (508) 663-3809

    Fax: (513) 440-8404

    Type: Mailing

  • 2401 University Pkwy Ste 104

    Sarasota, FL 342432894

    Phone: (941) 263-8441

    Type: Location

  • 2311, Viewmont Way West, Magnolia Village, Magnolia, Seattle, King County, Washington, 98199, United States

    SEATTLE, WA 981993938

    Phone: (206) 384-7011

    Type: Mailing

  • 500, Forest Avenue, Woodfords Corner, Portland, Cumberland County, Maine, 04103, United States

    SUITE 2A

    PORTLAND, ME 041011541

    Phone: (207) 775-2059

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250814000438INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901866706View full group profile
NameSpecialtyState
Clinical PsychologistMA
Clinical Social WorkerMA
Mental Health CounselorRI
-MA
Nurse PractitionerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
-MA
Clinical Social WorkerMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

How do I look up MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) by NPI?
Use NPI 1568516672 when you need to reference MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) in forms, claims, or directories.
Is MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) active in the national directory?
MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC)'s public NPI profile is in an active state.
Can you summarize MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC)'s specialty in plain language?
Clinically, the directory lists MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC) with Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC)?
The page summarizes Plymouth, Massachusetts for MR. MICHAEL JAMES EGAN (R.N., PMHNP-BC); expand the address list for detail.
What if Plymouth, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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